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Organization
MIRACLE MENTAL HEALTH PLLC
Active
Organization
MIRACLE MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORDELIA OGECHI EGWIM (OWNER)
(888) 753-8895
Entity
Organization
Contact information
Practice address
4830 WILSON RD STE 300, HUMBLE, TX 77396-1972
(888) 753-8895
Mailing address
4830 WILSON RD STE 300, HUMBLE, TX 77396-1972
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
05/13/2022
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